Emergency Medical
Response Form
SMCAS & the Niles Fire Department Need Your Help
When we respond to emergency medical calls we are required to gather critical medical information that will later be used by emergency room doctors to help diagnosis the patient's problem. The names and amount or dosage of the medications you are currently taking is essential information that may help save your life. In many cases you may not be able to answer medical questions because you are incapacitated. The time it takes to collect this information could mean the difference between life and death. One simple way to help with this problem is to cut out the
Emergency
Medical Form available here. Complete the form and secure it on your refrigerator (you may also want to carry a copy with you). If privacy is a concern, simply place the completed form in an envelope and label it Emergency Medical Information. Emergency Medical Technicians and First Responders who are called to your home will look for this information on your refrigerator. This simple action will save valuable time if you need medical assistance. For questions or assistance you can call the Southwestern Michigan Community Ambulance
Service at 684-2170 or the Niles Fire Department at 683-0160.
See
and Print the Emergency Medical Form Here
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